Want more iVillage? Sign up for our
Newsletters
Vaginal Fistula - Topic Overview
SYMPTOMS & TREATMENTS
What is a vaginal fistula?
A fistula is a passage or hole that has formed between:
- Two organs in your body.
- An organ in your body and your skin.
A fistula that has formed in the wall of the vagina is called a vaginal fistula.
- A vaginal fistula that opens into the urinary tract is called a vesicovaginal fistula.
- A vaginal fistula that opens into the rectum is called a rectovaginal fistula.
- A vaginal fistula that opens into the colon is called a colovaginal fistula.
- A vaginal fistula that opens into the small bowel is called a enterovaginal fistula.
See pictures of a
vesicovaginal fistula 
and a
rectovaginal fistula .
What causes a vaginal fistula?
A vaginal fistula starts with some kind of tissue damage. After days to years of tissue breakdown, a fistula opens up.
Vaginal fistulas are not a common problem in developed countries. But a fistula does sometimes happen after:
- Surgery of the back wall of the vagina, the perineum, anus, or rectum. Open hysterectomy is linked to most vaginal-urinary tract fistulas.
- Radiation treatment for pelvic cancer.
- A period of inflammatory bowel disease (including Crohn’s disease and ulcerative colitis) or diverticulitis.
- A deep tear in the perineum or an infected episiotomy after childbirth.
In developing countries where women have no health care nearby, vaginal fistulas are much more common. After days of pushing a baby that does not fit through the birth canal, very young mothers can have severe vaginal, bladder, or rectal damage, sometimes causing fistulas.
What are the symptoms?
A vaginal fistula is painless. But a fistula lets urine or feces pass into your vagina. This is called incontinence, and it causes embarrassing soiling problems that you cannot control.
- If you have a vesicovaginal fistula, you most likely have fluid leaking or flowing out of your vagina.
- If you have a rectovaginal, colovaginal, or enterovaginal fistula, you most likely have foul-smelling discharge or gas coming from your vagina.
- Your genital area may get infected or sore.
How is a vaginal fistula diagnosed?
Your symptoms are the most clear signs of a vaginal fistula. Your doctor will want to talk about your symptoms, as well as any surgery, trauma, or disease that could have caused a fistula. For a physical exam, your doctor will use a speculum to look at the vaginal walls. You may have other tests, such as:
- Putting dye in the vagina (and maybe the bladder or rectum) to find all signs of leakage.
- Urinalysis to check for infection.
- Blood test (complete blood count) to check for signs of infection in your body.
Your doctor may also use an X-ray or scope to get a clear look and check for all possible tissue damage.
How is it treated?
If you have a vaginal fistula, you will most likely need surgery to repair it. Before surgery, your doctor will see whether the tissue is healthy or needs to heal first.
- You may need medicine or wound care to heal the tissue before surgery.
- If you have inflammatory bowel disease, your doctor will not do surgery during a symptom flare.
- If you have a large rectovaginal fistula, you may first have a colostomy. This is to keep the fistula clear for the surgery. After the fistula repair heals, the colostomy is taken out.
After fistula repair surgery, be sure to follow your doctor’s instructions. See your doctor right away if you have signs of infection, such as a fever, tenderness, swelling, or redness.
| By: | Healthwise Staff | Last Revised: October 9, 2009 |
| Medical Review: | Sarah Anne Marshall, MD - Family Medicine Kirtly Jones, MD - Obstetrics and Gynecology | |
© 1995-2011 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.
Welcome to Care Circle, an exclusive tool to help you take care of yourself and your loved ones. Here's how it works:
- Create profiles for yourself and your loved ones.
- Select the topics and conditions that interest each of you.
- Get customized news updates, original content, tools, and expert advice for each Care Circle member delivered directly to your personalized homepage.
The information you input is strictly private; you choose who has access to your Care Circle.
How do I add myself or someone else to my care circle?
Click on "Add someone." Fill out the short profile. Choose an avatar. Select the topics and conditions that interest this person from the pulldown menu. You can select as many as you want, but you must choose at least one. Click on "Add Someone" again. You should start getting updates immediately.
How do I save content to my Care Circle?
Click on "Manage My Care Circle." Select the tab of the person for whom you're saving content. Put your cursor over the piece of content that you want to save; a disk icon will appear in the righthand corner. Click on the disk and the piece of content will be moved to a save folder.
How do I add additional topics and conditions for someone in my Care Circle?
Click on "Manage My Care Circle." Select the tab for the person whose preferences you'd like to update. Under "Add More to Follow," select additional topics and conditions.
How do I delete topics and conditions for someone in my Care Circle?
Click on "Manage My Care Circle." Select the tab for the person whose preferences you'd like to update. Under "Follows," scroll over the topic or condition you want to delete. An "X" should appear on the righthand side. Click on the "X" and the topic or condition will be deleted from the list.
To manage your Care Circle, Please
Sign In.
